寰枢椎失稳患者实施综合护理干预的效果评价  

Effect of comprehensive nursing intervention on patients with atlantoaxial dislocation

作　　者：王列红[1] 冯宝盈 

机构地区：[1]宝鸡市中心医院,陕西宝鸡721008

出　　处：《西部医学》2015年第8期1253-1255,共3页Medical Journal of West China

摘　　要：目的探讨寰枢椎失稳患者综合护理干预的方法和效果,为临床护理工作提供参考依据。方法将我科收治的126例寰枢椎失稳患者,按照入院治疗的先后顺序随机分为对照组61例、观察组65例。两组患者均采用全麻气管插管下行后路寰枢椎椎弓根钉固定融合术治疗,对照组采用常规护理,观察组实施综合护理干预,分别在干预前、后比较两组患者不良情绪情况,并将其住院时间、治疗依从性、术后严重并发症和患者满意度等情况进行比较。结果观察组患者在干预后焦虑、抑郁状态明显改善,其住院时间缩短、术后严重并发症的发生减少,治疗依从性和患者满意度提高,与对照组进行比较,差异均有统计学意义(P<0.05)。结论对寰枢椎失稳患者实施综合护理干预,可有效改善患者的不良情绪,减少术后并发症的发生,提高手术成功率。Objective To explore the method and effect of atlantoaxial instability in patients with comprehensive nursing intervention and provide reference for clinical nursing work. Methods 126 patients with atlantoaxial instability were randomly divided into the control group （61 cases） and observation group （65 cases）. The two patients were treated with tracheal intubation general anesthesia underwent posterior atlantoaxial pedicle screw fixation and interbody fusion for the treatment. The control group was treated with routine nursing care and observation group with comprehensive nurs- ing intervention. Before and after the intervention, The negative emotions, and the duration of hospitalization, treatment compliance, complications and patient satisfaction were investigated. Results The anxiety, depression status, hospitali- zation time, postoperative complications, treatment compliance and satisfaction of patients of observation group signifi- cantly improved compared that of the control group. The differences were statistically significant （P〈0.05）. Conclusion For atlantoaxial instability in patients with comprehensive nursing intervention can effectively improve the negative emo- tions of patients, effectively improve the negative emotions of patients, reduce the incidence of postoperative complica- tions and improve the success rate of surgery.

关 键 词：寰枢椎失稳 护理干预 

分 类 号：R473[医药卫生—护理学]